904 HEALTH, INC – NPI #1699487678
Clinic/Center

904 HEALTH, INC is an AHC clinic located in YULEE, FL. NPPES has assigned the NPI number 1699487678 to 904 HEALTH, INC on December 21, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 11 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was last updated on Apr 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 904 HEALTH, INC below.

NPI Profile for
904 HEALTH, INC

NPI Number
1699487678
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
904 HEALTH, INC
Primary location
96040 LOFTON SQUARE CT
YULEE, FL 32097-6347
Phone: (904) 659-2475 Fax: (904) 453-8600
11 Other location(s):
2102 14th St W
Bradenton, FL 34205-6351
Phone: (904) 900-1513
Fax: (904) 575-4944
320 Oakfield Dr
Brandon, FL 33511-5723
Phone: (904) 900-1513
Fax: (904) 575-4944
2420 S Highway 29
Cantonment, FL 32533-5808
Phone: (904) 900-1513
Fax: (904) 575-4944
1823 Business Park Blvd
Daytona Beach, FL 32114-1230
Phone: (904) 900-1513
Fax: (904) 575-4944
4427 Emerson St Ste A
Jacksonville, FL 32207-4969
Phone: (904) 900-1513
Fax: (904) 575-4944
1241 Blanding Blvd Ste 5
Orange Park, FL 32065-5908
Phone: (904) 900-1513
Fax: (904) 575-4944
57 Town Ct Ste 215
Palm Coast, FL 32164-2425
Phone: (904) 900-1513
Fax: (904) 575-4944
5951 Clark Center Ave Unit B
Sarasota, FL 34238-2717
Phone: (904) 900-1513
Fax: (904) 575-4944
3574 US 1 S Ste 101-104
St Augustine, FL 32086-6466
Phone: (904) 900-1513
Fax: (904) 575-4944
1104 E Fowler Ave Unit 100
Tampa, FL 33612-5404
Phone: (904) 900-1513
Fax: (904) 575-4944
7207 N Nebraska Ave
Tampa, FL 33604-4916
Phone: (904) 904-1513
Fax: (904) 575-4944
Mailing address
221 N HOGAN ST STE 118
JACKSONVILLE, FL 32202-4201
Phone: (904) 659-2475 Fax: (904) 453-8600
Organization Subpart
No
Authorized Official
WENDY KELLY
OFFICE ADMINISTRATOR
Phone: (563) 650-2158
Updated
Certification Date
Apr 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.